| NPI | 1528688819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904905) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002101) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2025-01-14 |